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NPI Code Detail

MEDICARE: DR. SHERVIN ESHRAGHI MD

MEDICARE: DR. SHERVIN ESHRAGHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0600XClinical Neurophysiology Physician2005-01804NC
22084N0400XNeurology Physician2005-01804NC
32084N0400XNeurology PhysicianA172941CA
4208M00000XHospitalist Physician2005-01804NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1141PTOTHERNCNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538191507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERVIN ESHRAGHI MD
Provider Business Mailing Address
First Line : PO BOX 9602
Second Line :
City : MISSION HILLS
State : CA
Zip : 91346-9602
Country : US
Telephone Number : 213-394-7921
Fax Number : 336-718-7598
Provider Business Practice Location Address
First Line : 23803 MCBEAN PWKY SUITE 202
Second Line :
City : VALENCIA
State : CA
Zip : 91355-2001
Country : US
Telephone Number : 661-481-2400
Fax Number : 661-255-5626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 10/03/2025

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